Individual
STEPHANIE NICOLE KAMINSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8750 TRANSIT RD, SUITE 105, EAST AMHERST, NY 14051-2610
(716) 636-1470
(888) 886-2563
Mailing address
8750 TRANSIT RD, SUITE 105, EAST AMHERST, NY 14051-2610
(716) 636-1470
(888) 886-2563
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
014158
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014158
NYS PROFESSIONAL LICENSE
NY
Enumeration date
09/21/2010
Last updated
12/11/2018
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